Services

Health Plan Operations

Focusing on cost, operations and patients

Numerous challenges and questions have surfaced since implementation of the Affordable Care Act began in 2013, making it difficult for health plans to find solid ground. Continued consolidation and fundamental structural changes to the industry, driven by health care reform, are compelling plan operators to focus as never before on cost containment, efficient operations and, most importantly, patient outcomes.

Bold Steps

Many leading health plans and health care organizations choose Deloitte's Health Plan Operations services for our deep understanding of their sectors, including the market forces and regulatory reforms shaping their strategies and operating models.


Health Plan Operations services

  • Business model strategies that address reform and market shifts, opportunities for sustainable revenue growth, cost reduction, increased efficiencies, and improved service quality.
  • Core administration efficiency that helps improve customer approval ratings and lower costs through more efficient billing, claims, customer service processes, and technology.
  • Medical management that can improve care delivery through the use of data analytics   tools that provide timely and accurate patient information to providers, care managers and individuals.


Potential bottom-line benefits

Potential bottom-line benefits

  • Flexibility to address future business needs and evolving customer requirements
  • Enhanced competitive position
  • Compliance with health care reform
  • Reduction of operational inefficiencies
  • Reduction of administrative and medical costs

Operational excellence is imperative for health plans to navigate today's challenges, maintain competitive advantage, and forge ahead with a firm footing.

Meet the Leaders

Bill Copeland

Bill Copeland

US Life Sciences & Health Care Industry Leader

Bill Copeland, Vice Chairman of Deloitte LLP, is a...More

Jason Girzadas

Jason Girzadas

US Life Sciences & Health Care Consulting Leader

Jason, Deloitte Consulting LLP, serves as Managing...More

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